Willingness-to-Pay for One Quality-Adjusted Life-Year: A Population-Based Study from Iran

Kamran Bagheri Lankarani, Sulmaz Ghahramani (), Najmeh Moradi, Hadi Raeisi Shahraki, Farhad Lotfi and Behnam Honarvar
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Kamran Bagheri Lankarani: Shiraz University of Medical Sciences
Sulmaz Ghahramani: Shiraz University of Medical Sciences
Najmeh Moradi: Iran University of Medical Sciences
Hadi Raeisi Shahraki: Shahrekord University of Medical Sciences
Farhad Lotfi: Shiraz University of Medical Sciences
Behnam Honarvar: Shiraz University of Medical Sciences

Applied Health Economics and Health Policy, 2018, vol. 16, issue 6, No 9, 837-846

Abstract: Abstract Objective This study was aimed at estimating the value of the general population’s willingness-to-pay (WTP) for one quality-adjusted life-year (QALY) in Iran. Methods Using multistage randomized cluster sampling, we recruited and interviewed 651 adult residents of Shiraz, south Iran. The mean age of the interviewees was 43.9 ± 16.3 years, and 326 (50.1%) of them were male. To each interviewee, we presented one of the hypothetical health scenarios that were used in the European value of a QALY project. Questionnaires, which were validated for the Persian language, were administered in digitally-assisted format, and a gray block questionnaire was used for special cases. The data were then analyzed using STATA and SPSS. Results The overall mean value of payment for one QALY of respondents who expressed WTP was US$2847, which is equal to 0.57 of the GDP per capita of Iran’s population. Under the end-of-life (terminal illness) scenario, this value was 13% higher than health-gain scenarios. WTP was also associated with high educational level, household income, and household expenditure. Conclusion Our results provided a threshold range of WTP and insights into rigorous scientific decision making about healthcare technology for the future.

Date: 2018
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DOI: 10.1007/s40258-018-0424-4

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